Individual
DR. JAY C JOHNSON
Active
Individual
DR. JAY C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46369
CO
2085R0202X
Diagnostic Radiology Physician
MD00044954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341184
—
AZ
05
—
46280570
—
NM
05
—
51508851
—
CO
01
—
P00664636
RAILROAD MEDICARE
CO
Enumeration date
09/02/2006
Last updated
07/07/2015
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